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Jonathan Daniel Tedder
Counselor in Blanchard, Oklahoma
NPI 1750620621

Jonathan Daniel Tedder is a Counselor based in Blanchard, OK. Jonathan Daniel Tedder practices in Blanchard, OK. The NPI Number for Jonathan Daniel Tedder is 1750620621 and holds a License No. BHRS (Oklahoma).

The current practice location address for Jonathan Daniel Tedder is 407 Ne 17Th St, Blanchard, OK and can be reached out via phone at 405-208-9219.

Location: 407 Ne 17Th St, Blanchard, OK, 73010-9486
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750620621
Provider Name
Jonathan Daniel Tedder
Credential
Provider Entity Type
Individual
Gender
Male
Address
407 Ne 17Th St, Blanchard, OK, 73010-9486
Phone Number
405-208-9219
Fax Number
Provider Enumeration Date
02/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
407 Ne 17Th St
City
Blanchard
State
Oklahoma
Zip
73010-9486
Phone Number
405-208-9219
Fax Number
person
Provider Business Mailing Address Details
Address
407 Ne 17Th St
City
Blanchard
State
Oklahoma
Zip
73010-9486
Phone Number
405-208-9219
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
BHRS (Oklahoma)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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